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Surgical Nursing
Postoperative Considerations, Client Education, & Pain Mgmt
Term | Definition |
---|---|
Hypothermia | Abnormally low body temperature |
Thermoregulatory | The physiologic process controlling the balance between heat production and heat loss in the body so as to maintain body temperature |
Emergence Delirium | Delirious behavior resulting from incomplete recovery from gas anesthesia |
Hypoglycemia | Lower than normal levels of blood glucose resulting in lack of fuel to the brain and other organ systems |
Normothermia | Normal body temperature |
Autotransfusion | Reinfusion of the patient's own blood |
Seroma | A serosanguineous accumulation of fluid between tissue planes |
Lavage | To wash out or irrigate |
Debridement | The removal of all foreign material and all contaminated and devitalized tissues from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed |
Semiocclusive Wound Dressing | Bandage that allows air to penetrate and exudates to escape from the wound surface |
Occlusive Wound Dressing | A dressing used on the skin that retains moisture and heat while increasing the concentration and absorption of medication being applied; impermeable to air and fluid; used in the later stages of wound healing |
Passive Drains | A surgically placed implant that uses gravity and overflow to facilitate the removal of unwanted fluid or gas |
Active Drains | A surgically placed implant that creates negative-pressure gradients to facilitate the removal of unwanted fluid or gas |
Fenestrated | To have one or more window-like openings |
Cryotherapy | Therapeutic techniques to decrease tissue temperature |
Petrissage | A type of massage that consists of kneading, rhythmic lifting, squeezing, and releasing the tissue |
Wind-Up | Alterations in the nervous system that occur as a result of untreated or inadequately treated pain and lead to untreatable pain states; temporal summation of painful stimuli in the spinal cord; mediated by C fibers and responsible for "secondary" pain |
Terminal Cleaning | Cleaning performed at the completion of the daily surgery schedule |
Movable Equipment | Pieces of equipment that can be transported from the surgery room to other areas of the hospital |
Mechanical Friction | A scrubbing motion used to clean all surfaces |
Chlorine-Based | A chemical that contains chlorine |
Phenol-Based | A chemical agent that contains phenol |
Quaternary Amine-Based | A chemical agent that contains quaternary ammonia |
Presoaking | Placing soiled instruments in distilled water or water mixed with a detergent solution without using mechanical agitation |
Precleaning | Involves rinsing the instruments in distilled water to rid them of tissue and blood |
Decontamination | The manual cleaning of an instrument in a detergent solution to assist in the breakdown of biologic debris |
Surfactant | A substance, such as a detergent, that can reduce the surface tension of a liquid and thus allow it to foam or penetrate solids |
Cavitation | The formation of bubbles in a liquid |
Recipe | A document that details pertinent information about surgery pack preparation and contents; often maintained in a procedures manual |
Indicator Tape | Pretreated tips on the sterilization tape that change color when the pack has been through the sterilization process |
Shelf-Life Expiration | A method that uses a predetermined date that identifies how long an item should be considered sterile |
Event-Related Expiration | A method that uses environmental causes to determine item sterility; if a sterile item is damaged in any way, it would be considered nonsterile |
Sterilization | The use of a process to rid an object of all living microbes |
Sterilize | To eliminate all microbes by death or inactivation |
Sterility | The absence of all living microorganisms, including spores |
Gravity Air-Displacement | A method of steam sterilization that relies on gravity to assist steam in penetrating items within the chamber; the most common sterilization method in veterinary practices |
High-Vacuum Sterilizer | A steam sterilizer that forces steam into the sterilizing chamber, causing steam to penetrate the pack more quickly; after the sterilization cycle has been completed, the steam is vacuumed out of the chamber |
Preparation Area | A room used for patient preparation and the storage of surgical supplies |
Flash Sterilization | An abbreviated version of a regular sterilization cycle used for individual instruments that have been dropped during surgery |
Plasma Sterilization | Low-temperature plasma sterilization with hydrogen peroxide gas used for items that cannot be steam sterilized |
Biologic Indicator | A vial containing the spores state of a specific bacteria is placed in a sterilizer to show that a sterilizer is functioning properly |
Chemical Indicator | An item in the form of a strip or tape that shows, by changing color, that conditions for sterilization were met |
Cold Sterilization | A misnomer for the use of a liquid disinfectant to "sterilize" instruments; the objects are clean but not truly sterile |
Ethylene Oxide (Gas) Sterilization | A sterilization process used for items that cannot be steam sterilized because the heat would destroy the item |
High-Level Disinfection (HLD) | Immersing items in a disinfectant solution to reduce the level of contamination; items are not sterile |
Ileus | Functional obstruction of the intestines or failure of peristalsis; partial or complete nonmechanical blockage of the small and/or large intestine |
Inappetence | Partial lack of appetite; inferred in animals with depressed food intake |